Development and validation of a rapid and robust method to determine visceral adipose tissue volume using computed tomography images

Visceral adiposity is a risk factor for many chronic diseases. Existing methods to quantify visceral adipose tissue volume using computed tomographic (CT) images often use a single slice, are manual, and are time consuming, making them impractical for large population studies. We developed and valid...

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Veröffentlicht in:PloS one 2017-08, Vol.12 (8), p.e0183515-e0183515
Hauptverfasser: Parikh, Aaroh M, Coletta, Adriana M, Yu, Z Henry, Rauch, Gaiane M, Cheung, Joey P, Court, Laurence E, Klopp, Ann H
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Coletta, Adriana M
Yu, Z Henry
Rauch, Gaiane M
Cheung, Joey P
Court, Laurence E
Klopp, Ann H
description Visceral adiposity is a risk factor for many chronic diseases. Existing methods to quantify visceral adipose tissue volume using computed tomographic (CT) images often use a single slice, are manual, and are time consuming, making them impractical for large population studies. We developed and validated a method to accurately, rapidly, and robustly measure visceral adipose tissue volume using CT images. In-house software, Medical Executable for the Efficient and Robust Quantification of Adipose Tissue (MEERQAT), was developed to calculate visceral adipose tissue volume using a series of CT images within a manually identified region of interest. To distinguish visceral and subcutaneous adipose tissue, ellipses are drawn through the rectus abdominis and transverse abdominis using manual and automatic processes. Visceral and subcutaneous adipose tissue volumes are calculated by counting the numbers of voxels corresponding to adipose tissue in the region of interest. MEERQAT's ellipse interpolation method was validated by comparing visceral adipose volume from 10 patients' CT scans with corresponding results from manually delineated scans. Accuracy of visceral adipose quantification was tested using a phantom consisting of animal fat and tissues. Robustness of the method was tested by determining intra-observer and inter-observer coefficients of variation (CV). The mean difference in visceral adipose tissue volume between manual and elliptical delineation methods was -0.54 ± 4.81%. In the phantom, our measurement differed from the known adipose volume by ≤ 7.5% for all scanning parameters. Mean inter-observer CV for visceral adipose tissue volume was 0.085, and mean intra-observer CV for visceral adipose tissue volume was 0.059. We have developed and validated a robust method of accurately and quickly determining visceral adipose tissue volume in any defined region of interest using CT imaging.
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Existing methods to quantify visceral adipose tissue volume using computed tomographic (CT) images often use a single slice, are manual, and are time consuming, making them impractical for large population studies. We developed and validated a method to accurately, rapidly, and robustly measure visceral adipose tissue volume using CT images. In-house software, Medical Executable for the Efficient and Robust Quantification of Adipose Tissue (MEERQAT), was developed to calculate visceral adipose tissue volume using a series of CT images within a manually identified region of interest. To distinguish visceral and subcutaneous adipose tissue, ellipses are drawn through the rectus abdominis and transverse abdominis using manual and automatic processes. Visceral and subcutaneous adipose tissue volumes are calculated by counting the numbers of voxels corresponding to adipose tissue in the region of interest. MEERQAT's ellipse interpolation method was validated by comparing visceral adipose volume from 10 patients' CT scans with corresponding results from manually delineated scans. Accuracy of visceral adipose quantification was tested using a phantom consisting of animal fat and tissues. Robustness of the method was tested by determining intra-observer and inter-observer coefficients of variation (CV). The mean difference in visceral adipose tissue volume between manual and elliptical delineation methods was -0.54 ± 4.81%. In the phantom, our measurement differed from the known adipose volume by ≤ 7.5% for all scanning parameters. Mean inter-observer CV for visceral adipose tissue volume was 0.085, and mean intra-observer CV for visceral adipose tissue volume was 0.059. We have developed and validated a robust method of accurately and quickly determining visceral adipose tissue volume in any defined region of interest using CT imaging.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>28859115</pmid><doi>10.1371/journal.pone.0183515</doi><tpages>e0183515</tpages><oa>free_for_read</oa></addata></record>
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subjects Adipose tissue
Aged
Aged, 80 and over
Animal fat
Biology and Life Sciences
Body fat
Body mass index
CAT scans
Chronic diseases
Chronic illnesses
Coefficient of variation
Computation
Computed tomography
Computer and Information Sciences
Delineation
Ellipses
Female
Health risks
Humans
Image processing
Image Processing, Computer-Assisted - methods
Interpolation
Intra-Abdominal Fat - diagnostic imaging
Intra-Abdominal Fat - physiopathology
Mathematical analysis
Medical imaging
Medicine and Health Sciences
Methods
Middle Aged
Obesity
Obesity, Abdominal - diagnosis
Obesity, Abdominal - diagnostic imaging
Obesity, Abdominal - physiopathology
Phantoms, Imaging
Physical Sciences
Physiological aspects
Population studies
Research and Analysis Methods
Risk factors
Robustness
Scanning
Software
Subcutaneous Fat - diagnostic imaging
Subcutaneous Fat - physiopathology
Tissues
Tomography, X-Ray Computed - methods
title Development and validation of a rapid and robust method to determine visceral adipose tissue volume using computed tomography images
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